DR. TERRY JOHN GUSTAFSON OD
NPI 1932197407
Optometrist in Spanaway, WA
About Dr. Terry John Gustafson Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TERRY JOHN GUSTAFSON OD (NPI 1932197407) is an individual optometrist in Spanaway, Washington, licensed in Washington (1084) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Terry John Gustafson Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98387 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPANAWAY, WA 98387
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Terry Gustafson's NPI number?
The NPI number for Terry Gustafson is 1932197407. It was assigned to this individual provider in the NPPES registry on October 10, 2005.
Where is Terry Gustafson located?
Terry Gustafson practices at 17416 Pacific Ave S, Spanaway, WA 98387. The listed phone number is (253) 531-1388.
What is Terry Gustafson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Terry Gustafson enrolled in Medicare?
Yes. Terry Gustafson is registered in the Medicare PECOS enrollment system.
What insurance does Terry Gustafson accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Terry Gustafson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Terry Gustafson was last updated on January 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Terry John Gustafson, OD · NPI 1932197407
Optometrist provider in Spanaway, Washington. Individual provider, active in the CMS NPPES registry since October 10, 2005.
## Identity
- **NPI:** 1932197407 (Entity type: Individual)
- **Enumerated:** October 10, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 1084 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17416 PACIFIC AVE S, Spanaway, WA 98387-8263
- **Phone:** (253) 531-1388 · **Fax:** (253) 531-1460
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** January 27, 2009
- **Other identifiers:** Other 22875 (WA); Medicare UPIN U 21387; Medicare NSC 0680660001 (WA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1932197407) · Data from the CMS NPPES public registry.